Management of large vestibular schwannoma. Part II. Primary Gamma Knife surgery: radiological and clinical aspects.
作者： Rick van de Langenberg , Patrick E. J. Hanssens , Jeroen B. Verheul , Jacobus J. van Overbeeke , Patty J. Nelemans
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摘要: Object In large vestibular schwannomas (VSs), microsurgery is the main treatment option. A wait-and-scan policy or radiosurgery are generally not recommended given concerns of further lesion growth increased mass effect due to transient swelling. Note, however, that some patients do present with symptomatic may still have serviceable hearing. Moreover, others be old, suffer from severe comorbidity, refuse any surgery. this study authors report results in large, growing VSs primarily treated Gamma Knife surgery (GKS), special attention volumetric growth, control rate, and symptoms. Methods The retrospectively analyzed 33 consecutive who underwent GKS for VSs, which were defined as > 6 cm3 at least indenting brainstem. Patients neurofibromatosis Type 2 excluded analysis, had undergone previous treatment. Volume measurements performed on contrast-enhanced T1-weig...
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